Health
When a parent must care for a parent: How to avoid caregiving burnout, according to experts
For members of the so-called “sandwich generation,” doing double-duty caregiving can take a toll.
Serving as a caregiver for a parent with dementia while also caring for kids and maintaining social and work relationships can come with physical, mental and emotional challenges, several experts expressed to Fox News Digital.
It can be especially difficult dealing with the role reversal, experts say.
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“The role of a parent is someone to look up to, respect and listen to,” Dr. Nancy Frye, PhD, a professor of psychology at Long Island University Post Campus in Brookville, New York, told Fox News Digital.
When a parent is in cognitive decline, questions arise about how to step out of traditional parent-child roles, she said, with “no clear norms or guidelines.”
For members of the so-called “sandwich generation,” doing double-duty caregiving can take a toll, experts say. (iStock)
“People have lived their lives looking up to their parents, turning to them for advice, and respecting their privacy and autonomy,” Frye continued.
“Now, they find themselves poking around in their parents’ affairs and wondering when to start making decisions for them.”
Stress of the ‘sandwich generation’
“Sandwich generation” caregivers — those who are tasked with taking care of multiple generations, such as parents and children, simultaneously — reported significantly higher levels of personal burnout compared to those who care solely for children, according to a 2023 study published in the International Journal of Aging & Human Development.
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One middle-aged caregiver from Long Island, New York, who asked to withhold her name, told Fox News Digital she can barely find time to take a shower when taking care of her mother with dementia.
“How can I find time to go for a walk or coffee with friends when I am afraid she will wander or fall?” she asked.
Those who are tasked with caring for members of multiple generations reported significantly higher levels of personal burnout compared to those who care solely for children. (iStock)
To avoid caregiver burnout when taking care of a parent who is dealing with an illness such as dementia, health experts said it is important to carve out time for yourself.
“Caring for a person with dementia can be very stressful,” Frye said. “In order to take care of somebody else, you need to take care of yourself. It is OK to take a break.”
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Dr. Marc L. Gordon, chief of neurology at Zucker Hillside Hospital Northwell Health on Long Island, New York, said caregivers should not hesitate to rely on others.
“It is important to find time for respite, and to ask for help rather than trying to do it all by yourself.”
He added, “Just like they tell you on an airplane, in case of an emergency, you should put on your own oxygen mask before attempting to assist others.”
“How can I find time to go for a walk or coffee with friends when I am afraid she will wander or fall?”
Darci Henry, a certified dementia practitioner and licensed nursing home administrator with Trualta — a Canadian company that provides online support and education for caregivers — said caregivers experience a range of emotions, all which are valid.
Henry emphasized to Fox News Digital the importance of delegating responsibilities to other family members and outsourcing tasks.
There are approximately 53 million caregivers in the U.S. as of 2020, a jump from 43.5 million in 2015, according to the Centers for Disease Control and Prevention (CDC). (iStock)
This may mean using community resources, such as meal prep, grocery delivery and laundry services.
“Reaching out and getting that extra layer of support is really important for your own preservation,” Henry said.
“Taking time for self-care is not selfish. It’s necessary.”
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Even for those who cannot leave the house, Henry suggested taking “micro moments.”
“It can be something as small as taking a few deep breaths, doing some stretching, standing outside on your porch or just enjoying a cup of coffee,” she said.
When it comes to speaking with children about their grandparent’s condition, an expert said knowledge is power. (iStock)
It is also important to carve out time for family relationships and daily check-ins with spouses or partners, according to Henry.
That could include going for a walk after dinner, having regular family meetings and discussing the division of responsibilities.
Navigating difficult discussions
“If there are underlying issues in the family, you’re definitely going to see them come up once the caregiving role starts,” Henry said.
People should seek professional help if the strain of caregiving is affecting the relationship, she advised.
“Many families have someone from the outside come in and mediate the meetings.”
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Having an outside perspective can help “provide a different lens” for the conversation and make sure everyone is heard, Henry noted.
While communicating, she said it’s key to be respectful and understand limitations and expectations.
“Try to take things as they come, moment by moment,” said one expert. “Focus on a parent having a good or a bad hour or day, as opposed to the parent improving or declining quickly.” (iStock)
When it comes to speaking with children about their grandparent’s condition, Henry said knowledge is power.
“The more you can educate the teenager or young adult about what is happening, the more empathy they may have about the situation.”
“If there are underlying issues in the family, you’re definitely going to see them come up once the caregiving role starts.”
To help deal with the mood swings often associated with dementia, Henry suggested adhering to a stable routine as much as possible and developing strategies to identify and prevent triggers for certain behaviors.
“Educating yourself on what is happening in that person’s brain is really important, because that will help you understand that they are not giving you a hard time, they’re having a hard time,” Henry said.
‘One day at a time’
It’s best to embrace a “one-day-at a time” mindset, Frye suggested.
“It’s tempting to take a parent’s state and behavior — whether it’s good or bad — as an indication of what’s to come,” she said.
To help deal with the mood swings that are often associated with dementia, an expert suggested adhering to a stable routine as much as possible and developing strategies to identify and prevent triggers. (iStock)
“Try to take things as they come, moment by moment. Focus on a parent having a good or a bad hour or day, as opposed to the parent improving or declining quickly,” Frye suggested.
Continuing to give a parent as much say and autonomy as possible can be helpful, she added — as long as it’s safe.
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“Decades ago, Ellen Langer did a study in which people in a nursing home were given a plant and told either that they needed to care for it, or that the staff would care for it,” Frye said.
“Those who were tasked with caring for their own plants lived longer.”
There are approximately 53 million caregivers in the U.S. as of 2020.
That’s a jump from 43.5 million in 2015, according to the Centers for Disease Control and Prevention.
For more Health articles, visit www.foxnews.com/health.
Health
Common nighttime noise exposure may trigger heart problems, study suggests
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Living near heavy traffic could negatively impact your heart health.
A European study, published in the journal Environmental Research, found that exposure to nighttime road traffic noise is linked to changes in the blood, leading to worsened cholesterol and cardiovascular risks.
The researchers considered data from the U.K. Biobank, Rotterdam Study, and Northern Finland Birth Cohort 1966, including more than 272,000 adults over the age of 30, according to a press release.
Nighttime road noise exposure was estimated at all participants’ homes based on national noise maps. Researchers also took blood samples to measure the participants’ metabolic biomarkers for disease, then mapped the link between nightly noise levels and existence of biomarkers.
Exposure to loud noise was associated with increased concentrations of cholesterol-related biomarkers. (iStock)
The study found that people exposed to louder noise at night — especially sounds above 55 decibels — showed changes in 48 different substances in their blood. Twenty of these associations “remained robust” throughout all cohorts.
Exposure to loud noise was associated with increased concentrations of cholesterol-related biomarkers, especially LDL “bad” cholesterol, IDL (intermediate-density lipoprotein) and unsaturated fatty acids.
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As noise levels increased, starting at around 50 decibels, cholesterol markers rose steadily, the release stated.
The authors concluded that this study “provides evidence that nighttime road traffic noise exposure from 50 dB upward is associated with alterations in blood cholesterol and lipid profiles in adults.”
Researchers noted a link between traffic noise and cardiometabolic disease. (iStock)
Study co-author Yiyan He, doctoral researcher at the University of Oulu in Finland, noted that in this type of research, small effect sizes are expected, and environmental exposures such as traffic noise are “typically modest.”
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“Despite this, we observed statistically robust and consistent associations across many biomarkers, especially those related to LDL and IDL lipoproteins,” she told Fox News Digital.
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“We also identified a clear exposure-response pattern starting at around 50 dB, suggesting that metabolic changes become more evident as noise levels increase.”
This aligns with public health guidance, as the World Health Organization recommends lower nighttime noise limits at around 40 to 45 dB, Yiyan He added.
“This finding may clarify the association between traffic noise and cardiometabolic diseases,” the researchers wrote. (iStock)
“The 55 dB level is often used as an interim benchmark associated with substantial noise annoyance and sleep disturbance,” she said. “In our study, we observed associations not only at 55 dB, but also indications of effects emerging at around 50 dB.”
The strength and consistency of the cholesterol-related associations were surprising, as these changes are usually “subtle.”
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“Instead, we found consistent associations across multiple large European cohorts, which strengthens confidence that the findings may reflect real biological patterns,” Yiyan He went on. “We were also interested to see that effects were minimal below ~50 dB, suggesting a possible threshold-like pattern.”
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The researcher noted that these findings were consistent across genders, education levels and obesity status.
The study was restricted to White Europeans, which posed a limitation. There was also a lack of information on the fasting status in the UK Biobank.
Changes in cholesterol levels were more severe than researchers expected. (iStock)
“Fasting can influence levels of certain metabolites, particularly fatty acids,” Yiyan He said. “However, based on UK Biobank documentation, fewer than 10% of participants were fasting for at least eight hours, and our main findings focused on cholesterol-related biomarkers, which are generally less sensitive to short-term fasting.”
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The researchers also lacked information on bedroom location, indoor noise exposure and time spent at home.
“These factors may introduce non-differential exposure misclassification,” Yiyan He said. “Additionally, noise exposure estimates were based on participants’ temporary residential addresses at the time of blood sampling, without considering the duration of residence.”
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“Many of these limitations would tend to bias results toward the null, so the consistent associations we observed remain noteworthy.”
Experts recommend taking measures to limit traffic noise at night. (iStock)
Based on this latest research, Yiyan He noted that nighttime noise is a “health-relevant exposure,” not just “an annoyance.”
“Our findings suggest that nighttime traffic noise may subtly but consistently affect metabolic health,” she said. “While the changes in cholesterol and lipid levels for any one individual are small, traffic noise affects a very large number of people, which means the potential public health impact could be substantial.”
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The researcher recommends taking measures like improving sound insulation, using noise-reducing strategies and placing bedrooms on the quieter side of the home when possible.
“Because sleep is a key pathway linking noise to health, protecting the nighttime sleep environment is especially important,” she added.
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